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:: Church Involvement Form ::

Church:
Pastor:
Contact:

Mailing Address:
City Zip

Delivery Address:
City Zip

Phone:
Email:
Type of Drive:
We would like to start our drive on:
and end on:
Preferred Delivery Date:
Preferred Pick Up Date:
Number of Drive Barrels:
Number of Donation Envelopes:
Master Flyer: I understand that I will be printing my own copies
Number of Informational Packets:
Our Church would like to schedule:
A presentation by a Fred Jordan Missions staff member at our church
A tour of the Fred Jordan Mission in downtown Los Angeles
Comments:
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Fred Jordan Missions
P.O. Box 12345
Covina, CA 91722
(626) 915-1981
fjmoffice@fjm.org